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Perceptions of medical students towards healthcare devolution: an online cross-sectional study.

Nyongesa H, Munguti C, Odok C, Mokua W - Pan Afr Med J (2015)

Bottom Line: Computed results from Google sheets were reported in frequencies and percentages.More participants considered working in private/ mission health institution (40%) after graduating as compared to public or non health institution (30%).Despite the envisioned benefits of healthcare devolution, there is a low opinion among medical trainees concerning these reforms and their implementation.

View Article: PubMed Central - PubMed

Affiliation: University of Nairobi, School of Medicine, School of Medicine, Nairobi, Kenya.

ABSTRACT

Introduction: There have been worries concerning the preparedness and capacity of the counties to take over health care services. As the current medical students are going into this new system, we sought their opinions on the issue of devolution. The objective is to assess beliefs and attitudes of medical students towards devolution of healthcare services.

Methods: A cross sectional survey was conducted at University of Nairobi medical school during the period of February-May 2014. Though a calculated random sample of 384 medical students was powerful enough to fulfill our objectives, all eligible medical students were invited by email to fill in a semi structured online questionnaire. Computed results from Google sheets were reported in frequencies and percentages.

Results: Data was collected from 191 respondents with majority of them in their clinical years (levels 3, 4 and 5) of study. More participants considered working in private/ mission health institution (40%) after graduating as compared to public or non health institution (30%). The media provided most of information concerning devolution (77%). Few respondents reported using government documents (36%) or public forums (24%) to get information on healthcare devolution. While most of the respondents were of the opinion that health information system (68%), health finance (63%), procurement of medical products (54%), leadership and governance (73) should be devolved, only 18% wanted health personnel to be devolved. Most of the opinions on healthcare devolution were not in agreement with the goal of devolution: more than 50% thought the process would not result in improved efficiency, resource allocation, disease control programs or maintenance of infrastructure.

Conclusion: Despite the envisioned benefits of healthcare devolution, there is a low opinion among medical trainees concerning these reforms and their implementation. Nevertheless, it is early to speculate whether such viewpoints will be carried to the future once teething problems are dealt with.

No MeSH data available.


Related in: MedlinePlus

Devolution of health system building pillars (N = 191)
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Related In: Results  -  Collection

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Figure 0002: Devolution of health system building pillars (N = 191)

Mentions: When asked about what aspect they wanted to be devolved, more than half of the respondents cited heath information management system (HMIS) (68%), finance (63%), leadership (73%) and medical products (54%). Notably, only 18% respondents suggested devolution of healthcare personnel to the counties (Figure 2).


Perceptions of medical students towards healthcare devolution: an online cross-sectional study.

Nyongesa H, Munguti C, Odok C, Mokua W - Pan Afr Med J (2015)

Devolution of health system building pillars (N = 191)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4495792&req=5

Figure 0002: Devolution of health system building pillars (N = 191)
Mentions: When asked about what aspect they wanted to be devolved, more than half of the respondents cited heath information management system (HMIS) (68%), finance (63%), leadership (73%) and medical products (54%). Notably, only 18% respondents suggested devolution of healthcare personnel to the counties (Figure 2).

Bottom Line: Computed results from Google sheets were reported in frequencies and percentages.More participants considered working in private/ mission health institution (40%) after graduating as compared to public or non health institution (30%).Despite the envisioned benefits of healthcare devolution, there is a low opinion among medical trainees concerning these reforms and their implementation.

View Article: PubMed Central - PubMed

Affiliation: University of Nairobi, School of Medicine, School of Medicine, Nairobi, Kenya.

ABSTRACT

Introduction: There have been worries concerning the preparedness and capacity of the counties to take over health care services. As the current medical students are going into this new system, we sought their opinions on the issue of devolution. The objective is to assess beliefs and attitudes of medical students towards devolution of healthcare services.

Methods: A cross sectional survey was conducted at University of Nairobi medical school during the period of February-May 2014. Though a calculated random sample of 384 medical students was powerful enough to fulfill our objectives, all eligible medical students were invited by email to fill in a semi structured online questionnaire. Computed results from Google sheets were reported in frequencies and percentages.

Results: Data was collected from 191 respondents with majority of them in their clinical years (levels 3, 4 and 5) of study. More participants considered working in private/ mission health institution (40%) after graduating as compared to public or non health institution (30%). The media provided most of information concerning devolution (77%). Few respondents reported using government documents (36%) or public forums (24%) to get information on healthcare devolution. While most of the respondents were of the opinion that health information system (68%), health finance (63%), procurement of medical products (54%), leadership and governance (73) should be devolved, only 18% wanted health personnel to be devolved. Most of the opinions on healthcare devolution were not in agreement with the goal of devolution: more than 50% thought the process would not result in improved efficiency, resource allocation, disease control programs or maintenance of infrastructure.

Conclusion: Despite the envisioned benefits of healthcare devolution, there is a low opinion among medical trainees concerning these reforms and their implementation. Nevertheless, it is early to speculate whether such viewpoints will be carried to the future once teething problems are dealt with.

No MeSH data available.


Related in: MedlinePlus